I am having insurance insurance due to CPT coding, can anyone help??

I have Guardian insurance with PHCS as the pre-cert. group. I was wondering if anyone had or is having LAP RNY with this insurance. I am having problems with them coding the procedure incorrectly and stating they will only pay $1900. PHCS approved the pre-cert for 3 days in the hospital undergoing LAP RNY. I have been waiting for this insurance company to go to the medical board for review again but I am not sure what I can do if they refuse to pay. My surgery is scheduled for 10/16/02, provided Guardian comes through. I have researched CPT codes and found that the one used by my surgeon is correct (43999) but Guardian doesn't recognize this. I am so worried that they will end up not paying for this procedure. What can I do? Any thoughts or comments are greatly appreciated.

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